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Active NPI 1417495383 Individual Practitioner Female Practitioner

Donna Marie Jackson , MSW, LSW, CDP

Social Worker • Gurnee, IL

Professional Overview & Biography Verified Profile Summary

Donna Jackson, MSW, LSW, CDP is a registered healthcare professional specializing in Social Worker in Gurnee, IL. Practice services are available at 4212 OLD GRAND AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4212 Old Grand Ave
Suite 102

Gurnee, IL 600312708

Telephone 8473365621
Fax 8473362594
Associated Practice Facility / Clinic
🏢 Gurnee Counseling Center Facility NPI 1871624619

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Gurnee, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 2.0 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
17 Specialists

Practicing in Gurnee, IL (5960 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License IL 150-006550

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

19 Associated Practitioners
Victoria Torres

Social Worker

NPI 1033597695
Leighann Moore , LCSW

Social Worker - Clinical

NPI 1073638334

Licensed Clinical Social Worker

Daniel Weber , LPC

Counselor - Professional

NPI 1194068551

Licensed Professional Counselor

Jennifer Andersen , LCSW

Social Worker - Clinical

NPI 1356820468

Licensed Clinical Social Worker

Kopal Bhatti , LPC

Counselor - Mental Health

NPI 1437987088

Licensed Professional Counselor

Laura Novak , LCSW

Social Worker - Clinical

NPI 1558637348

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 10, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 10, 2017

Registered at 4212 OLD GRAND AVE, SUITE 102, GURNEE, IL 600312708 (Tel: 8473365621)

📍
Updated Business Mailing Address February 10, 2017

Registered at 860 BREEZE DR, LAKE VILLA, IL 600466692 (Tel: 8475531259)

👤
Provider Name / Credentials Updated February 10, 2017

Recorded as DONNA JACKSON, MSW, LSW, CDP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 10, 2017

Social Worker (License #150-006550 in IL)

🟢
Initial NPI Registration & Enumeration February 10, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417495383
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 10, 2017
Last Update: February 10, 2017
Sole Proprietor: Yes

Mailing Address

860 Breeze Dr

Lake Villa, IL 600466692

Phone: 8475531259

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.